- UNC Health Care (Hendersonville, NC)
- …improve the health and well-being of the unique communities we serve. Summary: The Recovery Audit Contractor (RAC) Coordinator ( RN ) is responsible and ... accountable for all Care Management Denial and Recovery Audit Contractor (RAC) requests and follow-ups,...Required * Must be licensed to practice as a Registered Nurse in the state of North… more
- Intermountain Health (Des Moines, IA)
- **Job Description:** The Manager, RN Revenue Integrity Audit , Recovery and Appeals organizes and manages the daily operations of the Audit and ... **Job Essentials** + Manages the government and commercial payer audit and recovery programs, solicits feedback, and...reports, and other statistical data. **Minimum Requirements** + Active RN License is required in state of practice. +… more
- St. Luke's University Health Network (Bethlehem, PA)
- …Minimum of 5 years of full-time clinical care nursing experience as a Registered Nurse , in an acute care hospital setting. Experience preparing comprehensive ... upgrades and applications. + Achieve 80% or greater validation audit scores for CMS and Joint Commission core measures....to general, near, far, color and peripheral vision. EDUCATION: Registered Professional Nurse with current license to… more
- Home Care Providers of Texas (Dallas, TX)
- …standards and regulations * Experience in processing Additional Document Requests (ADRs), Recovery Audit Programs (RACs), and appeals * Responsible for ... to State, Federal, and Company policy, including ADRs or audit results and appeals. * Knowledge of various fraud,...practicing * Minimum of two (2) years' experience as registered professional (LPN, RN , PT, OT) with… more
- Trinity Health (Des Moines, IA)
- …with Medical Records Department and Admitting Department. + Collaborates with the Recovery Audit Contractor (RAC) Coordinator and Conifer for Medicare/Medicaid ... Family! We are looking to hire a Utilization Review RN ! Responsible for the review of inpatient and outpatient...SKILLS AND ABILITIES REQUIRED:** + Current licensure as a registered nurse in the State of Iowa.… more
- WellSpan Health (Chambersburg, PA)
- PRN Registered Nurse - Behavioral Health Inpt - Day/Evening/Night Location: Chambersburg Hospital, Chambersburg, PA Schedule: PRN/Per Diem RN - Behavioral ... care + Therapeutic groups and family treatment based on recovery curriculum, led by the staff from nursing, care...as needed + Shift and Weekend Differential Eligibility The Registered Nurse is responsible and accountable for… more
- LifePoint Health (Richlands, VA)
- …of Disclosures. * Reports breaches on the Corporate Portal * Acts as facility Recovery Audit Coordinator. Ensures completion within the regulated time frame by ... Coordinates Quality Wellness Preventative Health * Works closely with Clinical Nurse Manager with staffing, scheduling, and disciplinary actions for clinical staff.… more
- Granville Medical Center (Oxford, NC)
- …of CDI. Required: Graduation from a Board-approved nursing program with current licensure as a Registered Nurse ( RN ) or Licensed Practical Nurse (LPN) in ... * Obtains documentation relevant to denials avoidance related to the Recovery Audit program, the Comprehensive Error Rate Testing (CERT) program, and other… more
- Granville Health System (Oxford, NC)
- …of CDI. Required:# Graduation from a Board-approved nursing program with current licensure as a Registered Nurse ( RN ) or Licensed Practical Nurse (LPN) ... indicators. #Obtains documentation relevant to denials avoidance related to the Recovery Audit program, the Comprehensive Error Rate Testing (CERT) program, and… more
- Hospice of Michigan (Ann Arbor, MI)
- …responses to Additional Development Requests (ADRs), Comprehensive Error Rate Testing (CERT), Recovery Audit Contractor (RAC) etc., requests and participates in ... CARE Model of Service: courtesy, acknowledgement, response and empathy. Qualifications: + Registered Nurse with a baccalaureate degree in nursing, preferably a… more